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Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims That Include Certain Drug HCPCS Codes

Transmittal 756, Change Request (CR) 4142 issued on November 10, 2005, instructed the standard system maintainers to hook and hold claims with bill types 12x, 13x, 76x or 13x with condition code 41, with dates of service on or after January 1, 2006, where one or more of the drug HCPCS codes on the list attached to CR 4142 was included. The hook program should be maintained and updated each quarter based on the list of drug HCPCS found at the address provided in the Recurring Update Notification attached to this instruction. This process should continue until further notice.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 24, 2006

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.